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Opioids & SU
The Literature Collection contains over 11,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
12262 Results
1301
Approaching ADHD as a chronic condition: implications for long-term adherence
Type: Journal Article
Year: 2008
Publication Place: United States
Abstract: Attention-deficit/hyperactivity disorder (ADHD) is one of the most common chronic conditions of childhood. Although evidence-based treatments for ADHD, including stimulant medication and behavior modification, have long been established, and guidelines for care of ADHD in primary care settings have been developed, adherence to long-term therapy is poor among youth with ADHD. This article proposes use of the Chronic Care Model for Child Health, the purpose of which is to develop informed, activated patients who will interact with a prepared, proactive health care team. Six "pillars" make up the model: decision support, delivery system design, clinical information systems, family and self-management support, community resources and policies, and health care organizations. Each of these is discussed, and an individual example is described. Adopting the Chronic Care Model for Child Health has the potential to improve the quality of care for ADHD.
Topic(s):
HIT & Telehealth
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Reference Links: View the PubMed citation for Approaching ADHD as a chronic condition: implications for long-term adherence
1302
Appropriate Use of Drug Testing in Clinical Addiction Medicine
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: : Biological drug testing is a tool that provides information about an individual's recent substance use. Like any tool, its value depends on using it correctly; that is, on selecting the right test for the right person at the right time. This document is intended to clarify appropriate clinical use of drug testing in addiction medicine and aid providers in their decisions about drug testing for the identification, diagnosis, treatment, and recovery of patients with, or at risk for, addiction. The RAND Corporation (RAND)/University of California, Los Angeles (UCLA) Appropriateness Method (RAM) process for combining scientific evidence with the collective judgment of experts was used to identify appropriate clinical practices and highlight areas where research is needed. Although consensus panels and expert groups have offered guidance on the use of drug testing for patients with addiction, very few addressed considerations for patients across settings and in different levels of care. This document will focus primarily on patients in addiction treatment and recovery, where drug testing is used to assess patients for a substance use disorder, monitor the effectiveness of a treatment plan, and support recovery. Inasmuch as the scope includes the recognition of addiction, which often occurs in general healthcare settings, selected special populations at risk for addiction visiting these settings are briefly included.
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for Appropriate Use of Drug Testing in Clinical Addiction Medicine
View DOI Record
View the PubMed citation for Appropriate Use of Drug Testing in Clinical Addiction Medicine1303
Approved: New behavioral health care standards addressing primary physical health care
Type: Journal Article
Year: 2011
Publication Place: United States
Topic(s):
Healthcare Policy
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Reference Links: View the PubMed citation for Approved: New behavioral health care standards addressing primary physical health care
1308
Are Certain Health Centers Better Patient-Centered Medical Homes for People with Severe Mental Illness?
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract:
Patient-centered medical homes based at federally-qualified health centers (FQHCs) can benefit patients with complex health needs, such as severe mental illness (SMI). However, little is known about FQHC characteristics associated with changes in health care expenditures and utilization for individuals with SMI. Using North Carolina Medicaid claims and FQHC data from the Uniform Data System, multivariate regression identified FQHC characteristics associated with total expenditures, medication adherence and emergency department utilization among adults with SMI, controlling for time-invariant differences by health center. Few of the FQHC-level factors affected the outcomes-not even offering on-site behavioral health services. Although the FQHCs in the analysis sample exhibited considerable variation in the provision of specialty behavioral services and in staffing configurations, it may be the case that the examination of average effects across a heterogeneous group of adults with SMI mask benefits of FQHCs to certain subgroups. These findings support the conclusion that there is no "one-size-fits-all" model that works best for this diverse patient population. Study results are relevant for practices embarking on expanded medical home services for people with SMI.
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Healthcare Disparities
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, Medical Home
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Reference Links:
View the DOI record for Are Certain Health Centers Better Patient-Centered Medical Homes for People with Severe Mental Illness?
View DOI Record
View the PubMed citation for Are Certain Health Centers Better Patient-Centered Medical Homes for People with Severe Mental Illness?1310
Are components of the medical home differentially associated with child health care utilization, health, and health promoting behavior outcomes?
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: Objective. To determine if specific components of the medical home are differentially associated with beneficial child outcomes. Methods. Logistic regression was used to model each component (family-centeredness, comprehensive care, and care coordination) with health care utilization, child health, and health promoting behaviors in 81 232 subjects from the 2003 National Survey of Children's Health. Results. Family-centeredness was associated with increased odds of children being read to (adjusted odds ratio [aOR] = 2.16). Comprehensive care was associated with decreased outpatient (aOR = 0.70) and emergency department (aOR = 0.79) sick visits and with increased child health per parental assessment (aOR = 1.50). Care coordination was associated with increased preventive care visits (aOR = 1.41) and increased outpatient (aOR = 1.21) and emergency department (aOR = 1.24) sick visits. Stratification by special health care needs demonstrated similar findings. Conclusions. Comprehensive care was associated with improved child health and health care utilization. Prospective studies are needed to further investigate the differential impact of components of the medical home on child health.
Topic(s):
Financing & Sustainability
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, Healthcare Disparities
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, Medical Home
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1314
Are Insurers' Prior Authorization Rules Killing Opioid Addicts?
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Opioids & Substance Use
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Reference Links: View the PubMed citation for Are Insurers' Prior Authorization Rules Killing Opioid Addicts?
1315
Are North Carolina clinicians delivering opioid use disorder treatment to Medicaid beneficiaries?
Type: Journal Article
Year: 2022
Publication Place: England
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Healthcare Disparities
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Are North Carolina clinicians delivering opioid use disorder treatment to Medicaid beneficiaries?
View DOI Record
View the PubMed citation for Are North Carolina clinicians delivering opioid use disorder treatment to Medicaid beneficiaries?1316
Are patient characteristics associated with quality of depression care and outcomes in collaborative care programs for depression?
Type: Journal Article
Year: 2012
Publication Place: United States
Topic(s):
Healthcare Disparities
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1317
Are patients' pejorative representations of buprenorphine associated with their level of addiction and of misuse?
Type: Journal Article
Year: 2018
Publication Place: Ireland
Topic(s):
Opioids & Substance Use
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Reference Links: View the PubMed citation for Are patients' pejorative representations of buprenorphine associated with their level of addiction and of misuse?
1318
Are primary care mental health services associated with differences in specialty mental health clinic use?
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: OBJECTIVES: The aim of this study was to determine whether implementation of primary care mental health services is associated with differences in specialty mental health clinic use within the Veterans Health Administration (VHA). METHODS: The authors compared over a one-year period the new use of specialty mental health clinics and psychiatric diagnosis patterns among patients of 118 primary care facilities that offered integrated mental health care with 142 facilities without this service, with adjustment for other facility characteristics. RESULTS: Patients at both types of primary care facilities (those with integrated mental health care and those without) initiated specialty mental health treatment at similar rates (5.6% versus 5.8%) and averaged similar total specialty mental health clinic visits (7.0 versus 6.3). There were no significant differences in diagnosis patterns. CONCLUSIONS: Initial national implementation of mental health care in primary care within the VHA was not associated with substantial differences in new specialty mental health clinic use or diagnostic case mix among primary care patients.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Are primary care mental health services associated with differences in specialty mental health clinic use?
View DOI Record
View the PubMed citation for Are primary care mental health services associated with differences in specialty mental health clinic use?